TRACEY HOLTON


Address: Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677
Phone: 7048710934

TRACEY HOLTON (NPI# 1922634484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922634484
Entity Type Individual
Full Name TRACEY HOLTON
Practice Address Easterseals Ucp
913 Carolina Ave N
Statesville
NC 28677
Mailing Address 4492 Calico Rd
Lenoir
NC 28645-9675
Practice Telephone 7048710934
Mailing Telephone 8287545593
Enumeration Date 2020-03-17
Last Update Date 2020-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address EASTERSEALS UCP
913 CAROLINA AVE N
City STATESVILLE
State NC
Zip Code 28677

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306472311 Crystal Medley Hopkins Nurse Practitioner 105 Summer Breeze Court, Statesville, NC 28677 2020-03-21
1962069286 Leap Child & Family Services LLC Developmental Therapist 119 North Tradd Street, Statesville, NC 28677 2019-05-22
1831604891 Ingles Markets Inc Pharmacy 722 Sullivan Rd, Statesville, NC 28677 2017-12-12
1235663162 Sandra Lorraine Scalese Physical Therapy Assistant 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 2017-04-18
1437698891 Sherry Blevins Hager Pharmacist 722 Sullivan Road, Statesville, NC 28677 2017-02-17
1063828507 Susan Marie S Sheffield Dentist 518 Brookdale Drive, Statesville, NC 28677 2014-07-04
1659782449 Easter Seals Ucp Community/Behavioral Health 913 Carolina Ave, Statesville, NC 28677 2014-05-14
1306268016 Randall Scott Perry Dentist 1132 Davie Avenue, Statesville, NC 28677 2014-01-15
1215215876 Silhouette Enterprises Prosthetic/Orthotic Supplier 909 Carolina Ave, Statesville, NC 28677 2011-08-01
1114227386 Simply Speech Pllc Clinic/Center 301 E. Front St., Statesville, NC 28677 2010-10-22
Find all providers in zip 28677

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164973483 Quest Provider Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 344 Wilson St, Statesville, NC 28677-3860 2016-10-21
1063793792 Rha Health Services Nc, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 333 Massey Deal Rd, Statesville, NC 28625-8823 2011-09-08
1972884609 Rha Health Services Nc, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 234 Scotts Creek Rd, Statesville, NC 28625-2342 2011-09-08
1225319304 Rha Health Services Nc, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 304 Gregory Rd, Statesville, NC 28677-3106 2011-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1922623792 Our Home At Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-08
1710443395 Unity 4 Us Community Outreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 406 Lincoln St, Belmont, NC 28012-3045 2019-02-19
1871059444 Believing Everyone Succeeds Together Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 2019-02-19
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1316415037 Igr Collaborations Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 2018-11-12
1164924940 David Douglas Whitfield Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5342 Us Highway 301 North, Micro, NC 27555 2018-03-07
1710489976 Moravian Enterprises, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 North Elm St., Suite 810, Greensboro, NC 27401 2018-03-05
1659897833 Shelby Day Program Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 621 S Dekalb St Ste A, Shelby, NC 28150-6189 2017-08-18
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
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Competitor

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City STATESVILLE
Zip Code 28677

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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